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1. During a home health visit a school age child who has muscular dystrophy confides in the nurse that he was struck by his parents. which of the following actions should the nurse take first? This question involves a school age child with muscular dystrophy who confides in a home health nurse that he was struck by his parents. As mandated reporters of child abuse and neglect, nurses have an ethical and legal obligation to report suspected maltreatment of a child. The priority is to ensure the immediate safety and well-being of the child. Therefore, the first action the nurse should take is to check the child for any injuries that may require medical attention. This allows the nurse to provide any necessary treatment while also documenting physical evidence of the reported abuse.
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fries and pizza for lunch. The first action the nurse should take is option 4 - "determine student's motivation to learn about healthy food choices." Here is the rationale: Before designing an educational program, it's important to assess the learners' readiness to receive the information. Determining the students' motivation and interest level in learning about nutrition will help the nurse know how to best tailor the program. This step comes before providing resources, giving feedback, or trying to convince the students of the importance of healthy eating. Once the nurse understands what motivates the students, what information they already know, and where their gaps lie, appropriate next steps would be providing helpful resources (option 3), giving positive feedback for good choices (option 1), and explaining the benefits of nutrition (option 2). But the initial needs assessment is key to planning an effective program. Assessing motivation first allows the nurse to develop a nutrtion program that will truly resonate with these students. Therefore, option 4 is the best first step in this situation. √√4. determine student's motivation to learn about healthy food choices.
MRSA is a contagious antibiotic-resistant bacterial infection. To prevent its spread, standard precautions should be taken when handling contaminated items from an infected client. Double bagging soiled dressings contains the bacteria and prevents transmission through contact. Wearing a mask is needed only during procedures likely to generate splash or sprays of bodily fluids. HEPA filters and removing flowers are not required special precautions for MRSA. Among the options, only “double bag soiled dressings in polyethylene bags” describes the appropriate handling of contaminated materials from a client with MRSA. This controls infection transmission risk. Therefore, option 4 is the correct nursing action to take when visiting a home health client with methicillin-resistant Staphylococcus aureus. Special bagging of contaminated dressings is the priority intervention.
Chlamydia is a common sexually transmitted infection that can cause serious health complications if left untreated. Reporting chlamydia infections to public health authorities allows for monitoring of epidemiologic trends as well as enabling partner notification and community-level interventions. Herpes simplex virus (HSV), group B strep, and human papillomavirus (HPV) are not mandatorily reportable diseases in most public health jurisdictions. While important, they lack the combination of infectiousness, severity, and preventability that typically warrants legally mandated reporting to track incidence. So out of the answer options, chlamydia is the infection that the nurse should report to the state health department from a local clinic setting. Surveillance through mandatory reporting allows chlamydia to be tracked as a population health priority.
(option 3). The red blotchy rash starts on the face and spreads down the body, rather than confined to the trunk alone (option 4). Thus Koplik spots inside the mouth are the most distinctive clinical marker to expect when a nurse is assessing someone with suspected measles. Noticing this finding can lead to early diagnosis and prevention of further transmission.
When providing counseling after a new diagnosis, the priority is to assess the client’s and family’s understanding and coping with the illness before educating or making recommendations. Heart disease affects the whole family. Asking open-ended questions allows the nurse to evaluate existing knowledge gaps, emotions, fears, denial or relationship changes that require support. This enables the subsequent teaching and assistance to be tailored at the appropriate level. Discussing diet, finding exercise programs or attending appointments should come after fully understanding the family’s perceptions and the burden caused by the diagnosis. Option 4 empowers family participation and guides the care plan. Establishing rapport and trust provides the foundation for health promotion interventions to successfully promote self-management.